CN110277161A - Method, control equipment, medical treatment device and the medical monitoring apparatus of adaptation threshold window - Google Patents
Method, control equipment, medical treatment device and the medical monitoring apparatus of adaptation threshold window Download PDFInfo
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- CN110277161A CN110277161A CN201910365844.9A CN201910365844A CN110277161A CN 110277161 A CN110277161 A CN 110277161A CN 201910365844 A CN201910365844 A CN 201910365844A CN 110277161 A CN110277161 A CN 110277161A
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- 238000000034 method Methods 0.000 title claims abstract description 47
- 230000006978 adaptation Effects 0.000 title claims abstract description 41
- 238000012544 monitoring process Methods 0.000 title claims abstract description 19
- 238000005259 measurement Methods 0.000 claims description 44
- 230000004913 activation Effects 0.000 claims description 12
- 230000008859 change Effects 0.000 claims description 12
- 239000008280 blood Substances 0.000 claims description 11
- 210000004369 blood Anatomy 0.000 claims description 11
- 238000001514 detection method Methods 0.000 claims description 9
- 239000003814 drug Substances 0.000 claims description 8
- 238000001631 haemodialysis Methods 0.000 claims description 5
- 238000001914 filtration Methods 0.000 claims description 4
- 230000001225 therapeutic effect Effects 0.000 claims description 3
- 230000004044 response Effects 0.000 claims description 2
- 230000005284 excitation Effects 0.000 claims 1
- 239000007788 liquid Substances 0.000 claims 1
- 238000004590 computer program Methods 0.000 abstract description 10
- 238000000502 dialysis Methods 0.000 description 5
- 230000003213 activating effect Effects 0.000 description 4
- 230000009286 beneficial effect Effects 0.000 description 4
- 238000012545 processing Methods 0.000 description 4
- 230000009471 action Effects 0.000 description 3
- 238000010521 absorption reaction Methods 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 238000009530 blood pressure measurement Methods 0.000 description 2
- 238000012790 confirmation Methods 0.000 description 2
- 238000010790 dilution Methods 0.000 description 2
- 239000012895 dilution Substances 0.000 description 2
- 238000006213 oxygenation reaction Methods 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000003672 processing method Methods 0.000 description 2
- 230000001960 triggered effect Effects 0.000 description 2
- 239000003146 anticoagulant agent Substances 0.000 description 1
- 229940127219 anticoagulant drug Drugs 0.000 description 1
- 238000002617 apheresis Methods 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 238000009833 condensation Methods 0.000 description 1
- 230000005494 condensation Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 238000002615 hemofiltration Methods 0.000 description 1
- 230000000116 mitigating effect Effects 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
Classifications
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
-
- G—PHYSICS
- G05—CONTROLLING; REGULATING
- G05B—CONTROL OR REGULATING SYSTEMS IN GENERAL; FUNCTIONAL ELEMENTS OF SUCH SYSTEMS; MONITORING OR TESTING ARRANGEMENTS FOR SUCH SYSTEMS OR ELEMENTS
- G05B13/00—Adaptive control systems, i.e. systems automatically adjusting themselves to have a performance which is optimum according to some preassigned criterion
- G05B13/02—Adaptive control systems, i.e. systems automatically adjusting themselves to have a performance which is optimum according to some preassigned criterion electric
- G05B13/0205—Adaptive control systems, i.e. systems automatically adjusting themselves to have a performance which is optimum according to some preassigned criterion electric not using a model or a simulator of the controlled system
- G05B13/024—Adaptive control systems, i.e. systems automatically adjusting themselves to have a performance which is optimum according to some preassigned criterion electric not using a model or a simulator of the controlled system in which a parameter or coefficient is automatically adjusted to optimise the performance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1601—Control or regulation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3639—Blood pressure control, pressure transducers specially adapted therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/50—General characteristics of the apparatus with microprocessors or computers
Abstract
The present invention relates to a kind of methods of limits value range for being adapted at least one measurand, at least one second limits value of at least one the second measurand is wherein adapted to according to the variation of the first limits value of the first measurand, the adaptation passes through outfit for this purpose and control unit (1) Lai Jinhang configured.The invention further relates to control equipment (1), medical treatment device (100), medical monitoring apparatus, digital storage media, computer program product and computer programs.
Description
The application be the applying date be on November 23rd, 2010, application No. is 201080052550.8 (PCT/EP2010/
007075), entitled " method, control equipment, medical treatment device and the medical monitoring apparatus of adaptation threshold window "
Application for a patent for invention divisional application.
Technical field
The present invention relates to the methods of adaptation threshold window described in accordance with the claim 1.The invention further relates to according to
Control equipment as claimed in claim 7, according to claim 10 medical treatment device, according to claim 13
Medical monitoring apparatus, according to claim 15 digital memory device, according to claim 16 computer program
Product and according to claim 17 computer program.
Background technique
The threshold window of monitored medical measurement variable is known from practice.It is more than threshold value in monitored medical measurement variable
In the case where window, picture may be implemented, for example, predetermined technique result as triggering alarm.
It is handling, for example, for several respects reason, the threshold window for being adapted to measurand may be during medical fluid
It is essential.These reasons include by picture, for example, the pure position of the patient of its blood of external treatment changes such non-pass
The drift or permanent change of the absolute position of measurand caused by key reason.
Summary of the invention
The purpose of the present invention is to propose to another methods of adaptation threshold window.In addition, also to propose appropriate equipment.
This purpose according to the invention is reached by the method for the adaptation threshold window of the feature with claim 1
's.
The method according to the invention includes to depend on or according to first, especially the first threshold window of the measurand of medicine
Variation adaptation at least second, the especially second threshold window of the measurand of medicine.The adaptation is by being accordingly equipped with and configuring
Control equipment carry out.
Advantageous embodiment is the theme of dependent claims.
In the following description, as " can be " or term " can contain " be intended to be interpreted as " preferably " or
The synonym of " preferably containing " etc..
If the first and second medical measurement of term variable, threshold window etc. is used below, this field it is common
Technical staff is it should be appreciated that those terms also include third, the 4th or other medical measurement variables, threshold window etc..
Term " medical measurement variable " as used herein indicates parameter related with patient, feature or state variable.
Medical measurement variable can be with the parameter that considers when assessing clinical state or its variation, and feature or state variable have
Pass or such parameter, feature or state variable.
Measurand can be by detecting or measuring current measurement value, for example, fitting by using as such as sensor
When detection and/or measuring device determine, limit or quantify.
Term " the first measurand " and " the second measurand " as used herein can refer to that the measurement of same type becomes
Amount, for example, the first and second pressure measurement variables.They can indicate conduct, for example, same pressure, but utilize different sensings
The identical measurand of device measurement twice.First and second measurands can refer to conduct, for example, pressure and the different of temperature are surveyed
Quantitative change amount.
One measurand can be associated with another measurand.For example, the second measurand can depend on the
One measurand.But it is not necessarily so.
Under the background of processing method, the example of medical measurement variable may include physiological measurements variable, especially patient
Important parameter, that is, pressure, temperature, time etc..
Term " patient " as used herein and health or sick independently refer to main body as such as human or animal.
Term " threshold window " as used herein refers to the range or value of the value about or for medical measurement variable
Interval.Threshold window may include the range of the desirable measured value of measurand, or indicate or present what measurand can use
The interval of value.
Be detected as the measurand within threshold window measured value may be considered it is desirable.
In the field of medicine or medical technology, threshold window is it is to be understood that for example, to non-pathology range or region
Limitation.
Threshold window may include upper threshold value or the upper limit, respectively and/or lower threshold value or lower limit.Threshold window can be under
Threshold value extends to upper threshold value, or vice versa, wherein (above and/or under) threshold value may be embodied in the model that can also be not included in value
In enclosing.
Threshold window can be bilateral or only unilateral limited range (for example, only up or down limits).Whenever of the invention
When background mentions threshold window, the term is it can be appreciated that threshold value (for example, upper threshold value or lower threshold value).
Each measurand can be designated one or several threshold windows.
Term " adaptation of threshold window " as used herein is referred to by the first medical measurement variable or its threshold window
Variation caused by medical measurement variable range change, offset or adjustment.
Threshold window can be adapted to relative to the current measurement value of each measurand.
Preferably, threshold window is only adapted to after user is previously acknowledged.
Term " control equipment " as used herein refers to being designed, and configures and/or be equipped to depend on first threshold
The variation of window is realized or the equipment of the adaptation of triggering second threshold window.
Control unit, which can be embodied in, makes the method according to the invention automate or execute automatically.
This can advantageously contribute to effort needed for mitigating adaptation threshold window.
Control equipment can lead to or realize the execution of all or almost all method and steps.The method according to the invention can
Substantially or entirely to be executed by control equipment.This method can be executed partially by control equipment.
In a preferred embodiment, second threshold window can be by activating the unique actuating being equipped with for activation control equipment
Equipment is adapted to.
The actuating or activation for controlling equipment can pressing, rotating, switch, pat, touch etc. come reality by activated apparatus
It is existing.
Suitable activated apparatus includes knob, key, soft key, hardkey, switch, controller, the button of touch tablet, touch screen
Button, can pass through as keypad, mouse, class etc. external input device actuating or activation button, voice input
Equipment etc..
Actuating preferably can be by unique or single actuation, respectively, that is, single, which is pressed, patted, touching etc., to be formed.
Controlling equipment can be by picture, for example, user as clinic staff (for example, doctor, nursing staff etc.) swashs
Living or actuating.The adaptation of threshold window is preferably realized by authorized person.
Activation can be transmitted via signal by another equipment by controlling equipment.
In a further preferred embodiment, the method according to the invention includes to be arranged or determine medical measurement variable extremely
The feature of a few threshold window.
Term " feature of threshold window " as used herein refers to threshold window relatedly with the predetermined value of measurand respectively
Mouthful position or section, for example, the two dimension of numerical value shows space appearance etc. of range.
The value that threshold window may include value and/or measurand on (predetermined) in this way value of measurand is below
Value.
Threshold window can be symmetrically or asymmetrically arranged to such predetermined value relative to measurand, for example,
Relative to or be centered around the initial value of medicine variable that can be found when treatment starts.
The predetermined value of measurand can be threshold window or the reference value of its feature.
The feature of threshold window can indicate the predetermined or detection basic value relative to measurand, or become relative to measurement
The detection initial value of amount, or relative to the desired value of measurand, or relative to the other predetermined or detected value of measurand
Relative position.
The initial measurement of medical measurement variable is patient's setting or single when the feature of threshold value can start relative to treatment
Solely setting.
Alternatively, the feature of a threshold window or some or all of threshold windows can be changed during treatment.This
It can be with for example, manually being realized by user by, for example, actuating lifting key up and down adjustment single value or value range.In this way, can be with
By threshold value or threshold window are used as the basis according to present invention adaptation second threshold window after adaptation or after setting.
This feature can be the width of the single measured value relative to measurand or the threshold window relative to predetermined value
Or height.
Term " width or height of threshold window " as used herein refers to threshold window from medicine measurand
Lower threshold value to medical measurement variable upper threshold value section.
Alternatively or additionally, this feature can be between upper threshold value and the initial measurement of medical measurement variable and/or
Interval between lower threshold value and the initial measurement of medical measurement variable.
The feature of one or more threshold windows of one or several measurands can be with for example, in medical treatment device
So-called setting in make a reservation for or assessment.
Pre-seting for each threshold window being stored in setting can consult or for adaptation threshold window.This preferably may be used
To be realized automatically by controlling equipment.
The pre-seting of all threshold windows to be adapted to can be identical.But this pre-sets and can also be different.
The purpose of the present invention according to the control equipment of claim 7 further by reaching.It can be by according to the present invention
Method obtain be beneficial to equally any can much be obtained by control equipment according to the invention.
Control equipment of the invention is equipped with and is configured to become in the first threshold of the first medical measurement variable
In the case where change, the second threshold window of at least the second medical measurement variable is respectively depended on or is adapted to according to such variation
And it is respectively activated or controls.
Control equipment of the invention can be equipped with and be configured to be activated to execute the method according to the invention.
Control equipment of the invention can be equipped with and be configured to be swashed by user by activating unique (single) activated apparatus
It is living.
The purpose of the present invention is further by the medical treatment device according to claim 10 and/or by wanting according to right
13 medical monitoring apparatus is asked to reach.Being beneficial to for being obtained by the method according to the invention equally a little much may be used
To be obtained by medical treatment device according to the invention and/or medical monitoring apparatus.
Medical treatment device and/or medical monitoring apparatus according to the invention include at least one control according to the invention
Unit.
Medical treatment device of the invention and medical monitoring apparatus of the invention can be equipped to and be used as separate unit.But
It is that they can also be connected with each other.In particular, monitoring arrangement can be a part of therapeutic device.The present invention includes above-mentioned institute
There are those possibilities.
Medical treatment device and/or medical monitoring apparatus (each) can be comprising as measurement and/or detection devices, defeated
Enter or output equipment, memory device etc. as other equipment, and/or can be in connection.
Medical treatment device and/or medical monitoring apparatus especially may include at least one activated apparatus.Activated apparatus can
To be equipped with and be designed so as to the activation of control equipment.Such activation can be with for example, by activating activated apparatus once come real
Now or cause.
The primary actuating of embodiment according to the invention, activated apparatus can be limited to single or one-keystroke.
Medical treatment device according to the invention is preferably adapted for picture, for example, dialysis (dialysis), blood filtering
(hemofiltration), hemodiafiltration (hemodiafiltratoin), acquisition (apheresis), absorption
(absorption), extracorporeal blood treatment as blood oxygenation (oxygenation) etc..Therapeutic treatment dress according to the invention
It sets and can be heart-lung apparatus.
In a preferred embodiment, medical treatment device is adopted by the inclusion of haemodialysis, hemodiafiltration and/or treatment
At least one pair of blood of the method for collection carries out the blood processor of extracorporeal treatment.
Medical treatment device according to the invention can be the dress for carrying out peritoneal dialysis (peritoneal dialysis)
It sets.
Medical monitoring apparatus can be designed and be equipped with or be configured to monitor, for example, the medicine of one of above-mentioned processing method is controlled
The execution for the treatment of process.
The purpose of the present invention is further by the digital memory device according to claim 15, and/or according to claim
16 computer program product, and/or reach according to the computer program of claim 17.Side according to the invention can be passed through
What method obtained is beneficial to equally a little can much reach through these means.
Especially the digital memory device of disk, CD or DVD preferably characterize can with can programmable computer system interact, so as to
Execute the electronically readable control signal that can execute step automatically of the method according to the invention.
It is thus possible to lead to all of the method according to the invention, several or some automatic execution steps.The latter also adapts to
In computer program product and computer program.
The computer program product preferably includes program code stored on a machine readable medium, is held when on computers
When the row program product, the method according to the invention is executed.
Term " machine-readable data medium " as used herein refers to including that can explain by software and/or hardware
The medium of data or information.The medium can be the data medium of disk, CD, DVD etc..
The computer program includes when executing the program on computers, and execute the method according to the invention can be automatic
Execute the program code of step.
The method according to the invention may be advantageously used with the adaptation for promoting threshold window.Thus, for example, can be advantageously
With the several threshold windows of hour offset.
The use of control equipment can advantageously contribute to update in simple and less complex mode in processes or the phase
Between the medical measurement variable that detects.
Therefore the present invention can make the availability of medical treatment device and/or operability simpler.It therefore can be advantageous
Time and expense are saved in ground.
Other benefits include being less likely to false alarm occur.Moreover, being less likely to as second, third or other measurands
The required adaptation of threshold window is omitted, and therefore optionally venture execution is unwished-for as automatic stopped treatment function
Treat routine.
To it is emphasized that not realizing adaptation in the case where no user behavior preferably；User must be preferably
It interacts to confirm that or starting that the adaptation of second or other threshold windows may occur.In this case, it can be advantageous to keep away
Fault-avoidance cross may be conclusive or relevant especially relevant measurand variation.
According to the present invention, preferably after authorized user's confirmation, pass through control device shifting or adaptation threshold window respectively.
Thus, for example, only just being triggered when the second measured value invades the end value or the second threshold no longer valid more than possibility of scale
Alarm (for example, pressure alarm).Can " total system " respectively deviate or be adapted to automatically new value, pressure, alarming limit.Cause
Infringement to scale end value, relatively early and is therefore delicately notified user by notice or alarm by this.
According to the present invention, pass through this relatively early leading in the case where the end value for invading scale or numerical value are more than threshold value
Know, user can take action more more than known system.According to the present invention, for example, monitoring that medicine is surveyed during blood treatment
In the case where quantitative change amount, when the filtering fore pressure of the instruction for the condensation being considered as in filter, it can be advantageous to for action
Reserve time enough.Therefore, because lack the time for making a response or taking action, it may not termination；But still may be used
To take different measure.
Therefore, when fully demonstrating, behavior of the invention take user cannot again just as " early warning system "
Picture, for example, the early stage before being changed to pre-dilution from rear dilution or be adapted to required measure as anticoagulant takes this
A little descriptions.At that rate, the service life of filter can be extended.Therefore, the present invention can provide the benefit of economic aspect.
Detailed description of the invention
The present invention is illustrated by example referring to the attached drawing below, in the accompanying drawings:
Fig. 1 shows the exemplary arrangements of medical treatment device according to the invention；And
Fig. 2 shows the flow charts of the method according to the invention.
Specific embodiment
Fig. 1 shows most of exemplary arrangements of medical treatment device 100 according to the invention.
Medical treatment device 100 includes control unit 1.
Medical treatment device 100 includes picture, for example, detection device 3 as pressure transducer.
Medical treatment device 100 includes input equipment 5, for example, keypad and output equipment 7, for example, monitor.
Medical treatment device 100 includes activated apparatus 9.
Medical treatment device 100 includes monitoring arrangement 11.
As shown in Figure 1, monitoring arrangement 11 can be a part of medical treatment device 100.But, it is proposed, according to the invention, prison
View apparatus 11 be also used as be not a part of any processing unit separate unit.
Fig. 2 schematically shows the alternatively adaptation second threshold windows according to the present invention, depending on first threshold window
The flow chart of the method for mouth.
In order to which the cooperation of single component is more readily understood, with reference to the arrangement being shown in Fig. 1.Although may not show in Fig. 2
Out, but component involved in the method according to the invention is also indicated with the label of Fig. 1 for this reason.
When handling beginning, in step sl, the feature-of threshold window is set for relevant measurand during processing
This preferably individually carries out each patient.But this feature is known before being also possible to, and can optionally search.
So far, user can be by input equipment 5 with for example, the form of numerical value is by the threshold of medical measurement variable undetermined
It is worth in the feature input medical treatment device 100 of window.Threshold window can store in the setting of medical treatment device 100,
For example, being stored in appropriate memory device.
The assessment of threshold window can be step of the invention；But the assessment is not respectively method of the invention
Basic or essential part.As set forth above, it is possible to use, for example, having stored in the appropriate threshold value window in setting in the past.
The instructions or requests of user can be shown by output equipment 7.
During processing, measurement or the detection of detection device 3 and at least one related measurand of processing.Control equipment 1
And/or user can study the actual value of the first measurand now, and the threshold window of the first measurand is determined according to them
Whether the adaptation of mouth is beneficial or necessary.
It is necessary to change the first measurand, for example, the first threshold window of the venous pressure during dialysis treatment
In the case of, user can correspondingly change first threshold window.Optionally, user can receive control equipment by confirmation
It is recommended that.
For this purpose, in step s 2, can requesting user first, whether he wants to change first threshold window.
If the answer is in the negative (" N " of negative), the method according to the invention (" end ") can be terminated.
If user wants to be adapted to first threshold window (" J " certainly), he can change the feature of first threshold window,
For example, the interval etc. between width, upper threshold value and/or lower threshold value and the initial measurement of the first measurand.
Then, user can check and confirm the change that he makes.If being adapted to improper and/or unwished-for or being demonstrate,proved
Bright to be not necessarily to, then threshold window can be respectively reset to its original value or its primitive character by user.
It can correspondingly be equipped with and be properly entered and/or confirm equipment.
Preferably, since user must confirm the adaptation of first threshold window, it is possible to advantageously avoid with not
By control mode adaptation threshold window, therefore the decision for optionally missing the first measurand sexually revises.
According to request, user determines whether he thinks the second measurand of automatic adaptation in step s 4, for example, cross-film
(transmembrane) the second threshold window of blood pressure, and optionally, further threshold window.
Being arranged needed for offset or adaptation threshold window can store in the setting of medical treatment device.With threshold window
The related numerical value of size and/or position can remain unchanged or individually change.Thus, for example, threshold window phase can be kept
The relative position of the measured value of adaptation is triggered for having identified.
Therefore, in step s 4, it can be advantageous to give user with and meanwhile relocate all medical measurement variables, example
Such as, a possibility that the threshold window of all pressure measurement variables.
If user is not desired to adaptation threshold window (" N " of negative), this method (" stopping ") can be terminated.
If user thinks adaptation threshold window (" J " certainly), in step s 5, he can be by activating activated apparatus
9 activation control equipment 1, to realize or cause second threshold window, and optionally, the adaptation of further threshold window.
Claims (26)
1. a kind of method for the threshold window for being adapted to medical measurement variable, it includes following steps:
The second threshold window for being alternatively adapted at least the second measurand of first threshold window depending on the first measurand
Mouthful, wherein the adaptation passes through outfit thus and/or control unit (1) Lai Jinhang configured.
2. according to the method for claim 1, wherein the adaptation is set by unique actuating of actuating excitation control unit (1)
Standby (9) Lai Shixian.
3. method according to claim 1 or 2 includes following further step:
Be arranged or determine measurand at least one threshold window feature.
4. in particular specific according to the method for claim 3, wherein especially with the initial measurement of measurand in relation to ground
Patient, and the feature of threshold window is especially set when treating and starting.
5. according to the method for claim 4, wherein described be characterized in the width of threshold window and the predetermined value of measurand
Or the relationship between initial measurement.
6. according to the method for claim 4, wherein the feature correspond to one side upper threshold value and/or lower threshold value with it is another
Interval between the predetermined value or initial measurement of aspect measurand.
7. a kind of be equipped with and be configured to be surveyed according to the variation of the first threshold window of the first measurand adaptation at least second
The second threshold window of quantitative change amount and the control equipment (1) activated.
8. a kind of be equipped with and be configured to be activated to execute method described in any one according to claims 1 to 6
It controls equipment (1).
9. being equipped with and being configured to uniquely to activate unique cause by user according to control equipment (1) described in claim 7 or 8
Equipment (9) are moved to activate.
10. a kind of medical treatment device (100), includes:
At least one control equipment (1) described in any one according to claim 7 to 9.
11. medical treatment device (100) according to claim 10, further include:
It is equipped with and is configured at least one activated apparatus (9) of activation control equipment (1).
12. being embodied to according to medical treatment device described in claim 10 or 11 (100) through haemodialysis, blood
The blood processor of at least one method haemodialysis of liquid filtration, hemodiafiltration and/or treatment acquisition.
13. a kind of medical monitoring apparatus (11), includes:
At least one control equipment (1) described in any one according to claim 7 to 9.
14. medical monitoring apparatus (11) according to claim 13, further include:
It is equipped with and is configured at least one activated apparatus (9) of activation control equipment (1).
15. a kind of using can be interacted with programmable computer system, such as to execute according to any of claims 1 to 6
The electronically readable of method described in one controls signal, the especially digital memory device of disk, CD or DVD.
16. a kind of medical treatment device, comprising: control equipment, the control device configuration at can in response to user input and by
Activation, and be disposed for implementing the method for the threshold window for the adaptation medical measurement variable that computer executes；And at least one
A activated apparatus, at least one described activated apparatus are disposed for activation control equipment, the adaptation medical measurement variable
The method of threshold window the following steps are included:
Control unit is provided, the alternatively adaptation at least second of the first threshold window depending on the first measurand is configured to
The second threshold window of measurand, first measurand are different from the first measurand；
Detection device for detecting the first measurand is provided；
The first threshold window for changing the first measurand is inputted by user；And
Alternatively adaptation at least the second measurand of the first threshold window of the first measurand is depended on by control unit
Second threshold window,
Wherein, first threshold window includes at least one of the range of value and the interval of value.
17. medical treatment device according to claim 16, wherein the adaptation excites control unit only by actuating
One activated apparatus is realized.
18. medical treatment device according to claim 16, wherein the method further includes following steps:
Be arranged or determine measurand at least one threshold window feature.
19. medical treatment device according to claim 18, wherein the related ground with the initial measurement of measurand is
First patient, and the feature of threshold window is set when treating first patient and starting.
20. medical treatment device according to claim 19, wherein the width for being characterized in threshold window and measurement become
Relationship between the predetermined value or initial measurement of amount.
21. medical treatment device according to claim 19, wherein the feature corresponds in the following group at least
One interval: the interval between upper threshold value and predetermined value, the interval between lower threshold value and predetermined value, upper threshold value and measurand
Interval between interval and lower threshold value between initial measurement and the initial measurement of measurand.
22. medical treatment device according to claim 16, wherein the control device configuration by user at can uniquely be caused
Unique activated apparatus is moved to activate.
23. according to the medical treatment device described in claim 22, wherein the medical treatment device is by selected from the following group
At least one of method carry out the blood processor of haemodialysis: haemodialysis, blood filtering, hemodiafiltration and control
Treat acquisition.
24. medical treatment device according to claim 16, wherein the system is the medicine for including the control equipment
Monitoring arrangement.
25. according to the medical treatment device described in claim 24, wherein the medical treatment device, which further includes, to be equipped to
At least one activated apparatus of activation control equipment.
26. a kind of non-volatile computer readable storage medium storing program for executing, is stored thereon with executable program, wherein described program exists
Issue an instruction to execute the method for the threshold window of adaptation medical measurement variable during therapeutic treatment to programmable computer system
Technical step, comprising the following steps:
The first measurand is detected by detection device；
The first threshold window for changing the first measurand is inputted by user；And
Alternatively adaptation at least the second measurand of the first threshold window of the first measurand is depended on by control unit
Second threshold window,
Wherein, first threshold window includes at least one of the range of value and the interval of value.
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| DE102009054395A DE102009054395A1 (en) | 2009-11-24 | 2009-11-24 | Method for adjusting threshold windows, control device, medical treatment device and medical monitoring device |
| DE102009054395.3 | 2009-11-24 | ||
| CN2010800525508A CN102667785A (en) | 2009-11-24 | 2010-11-23 | Method for adapting limit value ranges, control device, medical treatment device and medical monitoring device |
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| CN2010800525508A Division CN102667785A (en) | 2009-11-24 | 2010-11-23 | Method for adapting limit value ranges, control device, medical treatment device and medical monitoring device |
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| CN102279020B (en) * | 2011-07-01 | 2012-11-14 | 中国计量学院 | Portable detector of blood clarifying device |
| FR2983766B1 (en) * | 2011-12-08 | 2014-02-14 | Sidel Participations | ASSEMBLY FOR FASTENING, WITH FLUIDIC CONNECTION, A MOLD BACKBONE ON A SUPPORT |
| CN105013032B (en) | 2014-03-31 | 2018-06-22 | 甘布罗伦迪亚股份公司 | Extracorporeal blood treatment system and the method for the system |
| DE102014113462A1 (en) * | 2014-09-18 | 2016-03-24 | Fresenius Medical Care Deutschland Gmbh | Method and apparatus for accounting for patient feedback in blood treatment |
| DE102014015048A1 (en) * | 2014-10-15 | 2016-04-21 | Fresenius Medical Care Deutschland Gmbh | Method and device for event-dependent limit monitoring of a dialysis machine |
| AU2016284617B2 (en) | 2015-06-25 | 2020-05-07 | Gambro Lundia Ab | Detection of a disruption of a fluid connection between two fluid containing systems |
| CN105681032B (en) * | 2016-01-08 | 2017-09-12 | 腾讯科技（深圳）有限公司 | Method for storing cipher key, key management method and device |
| MX2020002828A (en) | 2017-09-17 | 2020-07-22 | Steven Paul Keller | Systems, devices, and methods for extracorporeal removal of carbon dioxide. |
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Also Published As
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| JP5890779B2 (en) | 2016-03-22 |
| US20120277651A1 (en) | 2012-11-01 |
| US9311448B2 (en) | 2016-04-12 |
| WO2011063924A1 (en) | 2011-06-03 |
| EP2504785B1 (en) | 2019-04-17 |
| US20160196401A1 (en) | 2016-07-07 |
| TR201909641T4 (en) | 2019-07-22 |
| PL2504785T3 (en) | 2019-10-31 |
| CN102667785A (en) | 2012-09-12 |
| JP2013511306A (en) | 2013-04-04 |
| DE102009054395A1 (en) | 2011-06-01 |
| EP2504785A1 (en) | 2012-10-03 |
| ES2736163T3 (en) | 2019-12-26 |
| US10551803B2 (en) | 2020-02-04 |
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Application publication date: 20190924 |